| NPI | 1548557200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801096965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 6802086439) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-04-02 |